Senior Claims Representative (Legal Claims)

TL;DR

Senior Claims Representative (Legal Claims): Evaluating and processing complex insurance claims with an accent on liability assessment, policy interpretation, and settlement negotiation. Focus on conducting thorough investigations, drafting legal coverage letters, and ensuring regulatory compliance.

Location: Fully remote within the United States

Salary: $95,000 - $110,000 per year

Company

A specialist professional services and technology firm partnering with leading insurance and highly regulated global businesses to manage risk and optimize operations.

What you will do

• Investigate and evaluate insurance claims to determine coverage, liability, and potential damages.
• Draft detailed coverage letters to insureds, explaining carrier positions, reserving rights, or denying coverage.
• Conduct thorough investigations through interviews, property inspections, and review of legal/medical records.
• Negotiate fair settlements with claimants while adhering to company guidelines and legal standards.
• Maintain accurate claim records in digital systems, documenting all communications and meeting regulatory deadlines.
• Collaborate with internal management, coverage, and accounting units to discuss claim strategies.

Requirements

• Must be based in the United States.
• JD with active bar membership OR 6+ years of senior complex claims experience (commercial auto, trucking, GL, excess, etc.).
• Proven experience as a Claim Adjuster or similar role within the insurance industry.
• In-depth knowledge of insurance policies, coverage, and claims procedures.
• Strong analytical and problem-solving skills with high attention to detail.
• Relevant certifications (e.g., claims adjuster licenses) or willingness to obtain them.

Culture & Benefits

• Comprehensive medical, dental, and vision plans.
• 401k plan with employer matching.
• Discretionary Time Off for exempt employees and PTO package for non-exempt employees.
• Paid holidays.
• Life insurance, short-term, and long-term disability plans.